Individual
BEHZAD KALAGHCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3028 JAVIER RD STE 500, FAIRFAX, VA 22031-4622
(703) 698-8960
(571) 494-5794
Mailing address
3700 JOSEPH SIEWICK DR., SUITE 308, FAIRFAX, VA 22033-1739
(703) 698-8960
(703) 716-8703
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101230288
VA
207RG0100X
Gastroenterology Physician
D0057100
MD
207RG0100X
Gastroenterology Physician
MD32391
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356337158
—
VA
Enumeration date
09/27/2005
Last updated
05/07/2019
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